Yini i-Ankylosing Spondylitis, izimpawu eziyinhloko nokuthi kutholakala kanjani ukuxilongwa

-Delile

• Izimpawu ze-Ankylosing spondylitis
• Izimbangela eziyinhloko
• Ukuxilongwa kwenziwa kanjani
• Ukwelashwa kwe-ankylosing spondylitis

I-Ankylosing spondylitis, eyaziwa nangokuthi i-spondyloarthritis futhi, ezigabeni ezithuthuke kakhulu, i-ankylosing spondyloarthrosis, yisifo esingelapheki sokuvuvukala esibonakala ngokulimala komgogodla lapho i-vertebrae ihlangana khona, okuholela ezimpawu ezifana nobunzima bokuhambisa umgogodla. nobuhlungu obuthuthukayo lapho unyakaza kodwa buye bube nzima lapho uphumule.

Imvamisa, lesi silonda siqala ekuhlanganyeleni kwe-sacroiliac, phakathi kwesikhumba kanye ne-vertebrae yokugcina yezinyosi, noma ekuhlanganyeleni kwehlombe futhi kuvame ukuba kubi kakhulu, kuthinte ngokuqhubekayo wonke amanye ama-vertebrae omgogodla, okungaholela ekususweni komuntu emsebenzini, ukuqala ekuseni umhlalaphansi.

Ngakho-ke, lapho nje izimpawu zivela, kubalulekile ukuthi umuntu abonane nodokotela wamathambo ukuze kwenziwe ukuhlolwa ukuthola i-ankylosing spondylitis bese kuqala ukwelashwa, ukuvimbela izinkinga nokwenza ngcono impilo yomuntu.

Izimpawu ze-Ankylosing spondylitis

Uphawu oluyinhloko lwe-ankylosing spondylitis ubuhlungu obuphansi emuva obuthuthukisa ngesikhathi sokuzivocavoca umzimba, kodwa lokho kuba kubi kakhulu lapho umuntu ephumule. Ezinye izimpawu nezimpawu ze-ankylosing spondylitis yilezi:

• Ubuhlungu bomgogodla esifundeni esithintekile;
• Kunzima ukunyakaza komgogodla, njengokuguqula ubuso bakho bubheke eceleni;
• Umkhawulo wokunyakaza kwe-lumbar kuma-3 axes;
• Ukunciphisa ukwandiswa kwesifuba;
• Kungaba nokuzwa kokundikindiki kanye / noma ukuncinza ezingalweni noma emilenzeni;
• Ukuqina kwasekuseni;
• Ubuhlungu buyathuthuka ngokuhamba futhi buba kubi ngokuphumula;
• Kungase kube nokulungiswa kwe-lumbar, ukwanda kwe-kyphosis kanye / noma ukuqagela kwekhanda phambili;
• Umkhuhlane ophansi, cishe u-37ºC;
• Ukukhathala nokunganaki.

Izimpawu zivame ukufaka kancane kancane futhi ngokuhamba kweminyaka zivame kakhulu futhi zivame ukwenzeka. Ngaphezu kwalokho, uma kwenzeka kungabikho ukuxilongwa noma ukwelashwa okwanele, kungavela ezinye izinkinga, okuvame kakhulu ukuba yi-plantar fasciitis ne-uveitis, okuhambelana nokuvuvukala kwe-uvea, okuyisifunda leso esine-iris, umzimba we-ciliary a i-choroid.

Izimbangela eziyinhloko

Izimbangela eziholela ekwakhiweni kwe-ankylosing spondylitis azaziwa, kepha kutholakele ukuthi lesi sifo sihlobene nokuba khona kwe-antigen ethile emzimbeni ebizwa nge-HLA-B27, engadala izimpendulo ezingajwayelekile zesistimu yomzimba, okwenza isifo.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwe-ankylosing spondylitis kwenziwa ngokususelwa ekusebenzeni kwezivivinyo ezithile ze-imaging, njenge-X-ray, i-bone scintigraphy kanye ne-computed tomography ye-sacroiliac joint kanye nomgogodla, imiphumela yayo okumele ihunyushwe ngudokotela. Ngaphezu kwalokho, ukuhlolwa kwe-serological kwe-HLA-B27 kunganconywa ngudokotela, njengoba le antigen ihlobene nesifo.

Ngaphezu kwalokho, ubukhona bezimpawu nezimpawu zesikhathi esilingana noma esingaphezulu kwezinyanga ezi-3 kufanele kuhlolwe ngudokotela ukuze kuqinisekiswe ukuxilongwa, ngaphezu kokubheka ukuthi ngabe kukhona ukukhubazeka kwebanga lesi-2 noma lesi-4 emajoyini amabili we-sacroiliac, noma ibanga lesi-3 noma lesi-4 kujoyini elilodwa le-sacroiliac.

Ukwelashwa kwe-ankylosing spondylitis

Ukwelashwa kuhlose ukuqeda izimpawu, ukuvimbela ukuqhubeka kwezifo nokuqala kwezinkinga, nokuqinisekisa izinga lempilo lomuntu. Ngakho-ke, kunganconywa udokotela wamathambo ukuthi asebenzise imishanguzo ethambisa i-analgesic, anti-inflammatory kanye ne-muscle, efana nale:

• Indomethacin: 50 kuya ku-100 md / ngosuku;
• I-Diclofenac sodium: 100 kuya ku-200 mg / ngosuku;
• I-Naproxen: 500 kuya ku-1500 mg / ngosuku;
• I-Piroxicam: 20 kuya ku-40 mg / ngosuku futhi
• I-Aceclofenac: 100 kuya ku-200 mg / ngosuku.

Inhlanganisela yemithi kanye nomthamo kufanele inikezwe ngudokotela ngemuva kokuhlola ukushuba kwezimpawu eziveziwe. Ngaphandle kokuqina kwezimpawu, ukwelashwa ngokomzimba nakho kubalulekile ukukhuthaza ukukhula kokuhamba ngokuhlanganyela nokwandisa ukuguquguquka, ngaleyo ndlela kusize ekunciphiseni izimpawu ze-ankylosing spondylitis.

Ngokuya ngeminyaka yesiguli nemisebenzi yansuku zonke, kungahle kunconywe ukuhlinzekwa kokufakelwa kokufakelwa ukuze kuthuthukiswe ukuhamba. Umkhuba ojwayelekile wokuzivocavoca ngaphezu kokuthuthukisa izimpawu, unikeza amandla amaningi nokuziphatha. Izindlela zemvelo ezinjengokusikhipha umzimba, ukutshopa, i-auriculotherapy, nezinye zingasetshenziswa ukunciphisa izinhlungu. Ngaphezu kwalokho, ukudla ngesitashi esincane noma ukungabi bikho kwako kukhonjisiwe ukuthi kuyasebenza ekuletheni ukukhululeka ebuhlungwini futhi kunciphise ukuqhubeka kwesifo.

Kubalulekile ukuthi isiguli sazi ukuthi ukwelashwa kufanele kwenziwe impilo yonke ngoba i-ankylosing spondylitis futhi ayinalo ikhambi. Funda kabanzi mayelana nokwelashwa kwe-ankylosing spondylitis.